Active NPI
Anne A. Nicholas, D.D.S.
- Periodontics
- Palm Desert, CA
National Provider Identifier
1114049160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 37966
- Practice address
- 73929 Larrea St
Suite 2
Palm Desert, CA 92260-4305 - Phone
- (760) 340-1030
- NPI assigned
- Apr 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 37966 | CA | Primary |
Addresses
Primary practice location
73929 Larrea St
Suite 2
Palm Desert, CA 92260-4305
Mailing address
75347 Montecito Dr
Indian Wells, CA 92210-8358
Phone (760) 340-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37966 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalashini Miller DDS PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Palm Desert, CA
- NPI 1982340196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114049160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75347 MONTECITO DR",
"city": "INDIAN WELLS",
"state": "CA",
"postal_code": "922108358",
"telephone_number": "760-340-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73929 LARREA ST",
"address_2": "SUITE 2",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604305",
"telephone_number": "760-340-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "ANNE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "37966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.